Individual
DR. JACK COLBERT MORGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6005 PARK AVENUE, SUITE 509, MEMPHIS, TN 38119
(901) 766-7500
(901) 766-7550
Mailing address
6005 PARK AVENUE, SUITE 509, MEMPHIS, TN 38119
(901) 766-7500
(901) 766-7550
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD8911
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006300
BLUE CROSS BLUE SHIELD
TN
05
—
3721593
—
TN
Enumeration date
06/22/2006
Last updated
07/08/2007
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